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In an effort to improve pain management,we developed a treatment algorithm that links pain assessment with treatment strategies.Nurses in the NICU and pediatric ICU at our institution assess pain using the COMFORT Behavior Scale,along with a visual analogue scale(VAS). The COMFORT Scale.In 1992 Ambuel and... show more In an effort to improve pain management,we developed a treatment algorithm that links pain assessment with treatment strategies.Nurses in the NICU and pediatric ICU at our institution assess pain using the COMFORT Behavior Scale,along with a visual analogue scale(VAS).
The COMFORT Scale.In 1992 Ambuel and colleagues presented a nonintrusive method of assessing distress in mechanically ventilated patients in pediatric ICUs,called the COMFORT scale,in which eight factors-six behavioral and two physiologic-were assessed.Others later analyzed the appropriateness of using this scale for assessing sedation and determined cut-off scores for optimal and inadequate sedation in children. In 1996 we undertook a randomized,controlled trial of 158 infants and toddlers up to three years of age in the pediatric surgical ICU at Sophia's
Children's Hospital;the study was designed to validate the use of the COMFORT scale in assessing postoperative pain in infants. To this end,we adapted the scale
by adding an item-“crying”-that would help us assess patients who were not mechanically ventilated.
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